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Quantification of radiation intensity and estimation of absorbed dose in radioactive iodine therapy

Research Project

Project/Area Number 18K15629
Research Category

Grant-in-Aid for Early-Career Scientists

Allocation TypeMulti-year Fund
Review Section Basic Section 52040:Radiological sciences-related
Research InstitutionKyoto University

Principal Investigator

IIZUKA Yusuke  京都大学, 医学研究科, 助教 (90782673)

Project Period (FY) 2018-04-01 – 2021-03-31
Project Status Completed (Fiscal Year 2020)
Budget Amount *help
¥3,770,000 (Direct Cost: ¥2,900,000、Indirect Cost: ¥870,000)
Fiscal Year 2020: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2019: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2018: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Keywords放射性ヨウ素内用療法 / シンチグラム / 定量化 / ヨウ素シンチグラム / Adjuvant Therapy / 定量的評価 / 核医学 / 放射線治療 / 放射線物理学 / SPECT
Outline of Final Research Achievements

It was found that the intensity of accumulation of radioactive iodine can be estimated by simultaneously taking capsules of known doses into scintigraphy of patients who received radioiodine therapy, and this data was used to estimate the dose of accumulation of thyroid bed. However, since it is difficult to estimate the pharmacokinetics of radioiodine for each individual patient with the single imaging performed in daily clinical practice, further research is needed to establish a method for estimating the absorbed dose.
Using the database created during the course of the study, it was also examined that the differences in treatment outcomes due to differences in treatment dose and treatment preparation in postoperative adjuvant therapy with radioiodine.

Academic Significance and Societal Importance of the Research Achievements

本研究でのヨウ素131のシンチグラフィ画像から集積の強度を推定する手法の報告は今までになく、また臨床データをそのまま使えるという点では利便性が高い。ヨウ素シンチグラムにおける集積の定量化技術は推定法は確立されておらず、本研究により定量的かつ客観的な指標ができたことは意義深い。この手法を用いることで、甲状腺床のみならず腫瘍など他の集積部位の放射線量を推定することができる。
ただし、放射性ヨウ素の体内動態を個々の患者毎に推定することが難しいため、吸収線量の推定にはさらなる研究が必要である。今後は集積の定量値と臨床成績の関連についても調べていく予定である。

Report

(4 results)
  • 2020 Annual Research Report   Final Research Report ( PDF )
  • 2019 Research-status Report
  • 2018 Research-status Report
  • Research Products

    (7 results)

All 2020 2019

All Journal Article (2 results) (of which Peer Reviewed: 1 results) Presentation (5 results) (of which Int'l Joint Research: 1 results,  Invited: 1 results)

  • [Journal Article] Comparison of thyroid hormone withdrawal and recombinant human thyroid-stimulating hormone administration for adjuvant therapy in patients with intermediate- to high-risk differentiated thyroid cancer2020

    • Author(s)
      Iizuka Yusuke、Katagiri Tomohiro、Ogura Kengo、Inoue Minoru、Nakamura Kiyonao、Mizowaki Takashi
    • Journal Title

      Annals of Nuclear Medicine

      Volume: 34 Issue: 10 Pages: 736-741

    • DOI

      10.1007/s12149-020-01497-0

    • Related Report
      2020 Annual Research Report
  • [Journal Article] Comparison between the different doses of radioactive iodine ablation prescribed in patients with intermediate- to high- risk differentiated thyroid cancer2019

    • Author(s)
      Iizuka Y, Katagiri T, Ogura K, Mizowaki T
    • Journal Title

      Ann Nucl Med

      Volume: 33 Issue: 7 Pages: 495-501

    • DOI

      10.1007/s12149-019-01357-6

    • Related Report
      2019 Research-status Report
    • Peer Reviewed
  • [Presentation] 甲状腺癌術後Adjuvant Therapyにおける甲状腺ホルモン休止とリコンビナントヒトTSHの比較2020

    • Author(s)
      飯塚裕介、片桐幸大、小倉健吾、井上実、中村清直、溝脇尚志
    • Organizer
      第1回日本放射線腫瘍学会内用療法セミナー
    • Related Report
      2020 Annual Research Report
  • [Presentation] I-131シンチグラフィの放射線量の推定における平面画像とSPECT画像の比較2020

    • Author(s)
      飯塚裕介、片桐幸大、井上実、中村清直、溝脇尚志
    • Organizer
      第60回日本核医学会学術総会
    • Related Report
      2020 Annual Research Report
  • [Presentation] 中から高リスク甲状腺癌術後Adjuvant Therapyにおける外来30mCi放射性ヨウ素内用療法の役割2020

    • Author(s)
      飯塚裕介、片桐幸大、小倉健吾、井上実、中村清直、溝脇尚志
    • Organizer
      第53回日本内分泌外科学会
    • Related Report
      2020 Annual Research Report
    • Invited
  • [Presentation] Comparisons between Thyroid Hormone Withdrawal and Recombinant Human Thyroid-stimulating Hormone Administration for Radioiodine Ablation in Patients with Intermediate-risk to High-risk Differentiated Thyroid Cancer2019

    • Author(s)
      Y Iizuka, T Katagiri, K Ogura, M Inoue, K Nakamura, T Mizowaki
    • Organizer
      European Association of nuclear medicine 2019
    • Related Report
      2019 Research-status Report
    • Int'l Joint Research
  • [Presentation] Comparisons between Thyroid Hormone Withdrawal and rhTSH for Radioiodine Ablation2019

    • Author(s)
      Y Iizuka, T Katagiri, K Ogura, M Inoue, K Nakamura, T Mizowaki
    • Organizer
      第58回日本核医学会
    • Related Report
      2019 Research-status Report

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Published: 2018-04-23   Modified: 2022-01-27  

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